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Fig. 3 | Egyptian Journal of Radiology and Nuclear Medicine

Fig. 3

From: Magnetic resonance imaging and spectroscopy in evaluation of hypoxic ischemic encephalopathy in pediatric age group

Fig. 3

A 15-days-old female patient weighted 3 kg presented clinically by respiratory distress sarnat stage I. Conventional MRI Axial T1WI Flair (A), Axial T2WI (B): normal progress of myelination according to age (preserved T1 high signal intensity of PLIC) (red arrow), no abnormal signal in basal ganglia and thalamus, distinct grey white matter differentiation (blue arrows), prominent subarachnoid spaces (green arrows). Multivoxel MRS (C) and Spectrum (D) long TE 144 show decreased NAA peak and increased CHO also Multivoxel MRS (E) and spectrum (F) short TE 35 show increased lac peak. Lac/Cr at basal ganglia & thalamus ratio 0.65 denoting moderate stage HIE (grade II). Outcome: delayed motor development

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